Anxiety Disorder 焦慮症VII: 廣泛性焦慮症

Anxiety Disorder 焦慮症VII:
廣泛性焦慮症Generalized Anxiety Disorder (Includes Overanxious Disorder of Childhood,包括兒童的過於焦慮障礙)

A.    Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance)
       至少有六個月的日子裏,大部分時間在過分焦慮和擔心(對未來憂慮)一些事情和活動(如:工作,或學習)

B.    The person finds it difficult to control the worry.
       患者發現很難控製這種擔心.

C.    The anxiety and worry are associated with three (or more) of the following
six symptoms (with at least some symptoms present for more days than not for the past 6 months). Note: Only one item is required in children.
這些擔心和焦慮還伴有以下三種或以上的症狀.注意:對兒童,隻有一項即可.

 (1)restlessness or feeling keyed up or on edge心神不安,不安,緊張,

(2)    being easily fatigued容易疲勞

(3)    difficulty concentrating or mind going blank
       難於集中注意力,或腦子一片空白

(4)     irritability易怒

(5)    muscle tension肌肉發緊

(6)    sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
        睡眠不好(難於入睡,易醒,或不安然,不如意的睡眠)

D.    The focus of the anxiety and worry is not confined to features of an Axis I disorder, e.g., the anxiety or worry is not about having a Panic Attack (as in Panic Disorder), being embarrassed in public (as in Social Phobia), being contaminated (as in Obsessive-Compulsive Disorder), being away from home or close relatives (as in Separation Anxiety Disorder), gaining weight (as in Anorexia Nervosa), having multiple physical complaints (as in Somatization Disorder), or having a serious illness (as in Hypochondriasis), and the anxiety and worry do not occur exclusively during Posttraumatic Stress Disorder.
患者的擔心和焦慮不局限於軸I的症狀,如:不僅是擔心有恐慌發作(恐慌症的表現),在公共場所被羞辱(社交恐懼症的表現),擔心被感染(強迫症的表現),對離開家或親屬的擔心(分離焦慮症的表現),擔心變胖(厭食症的表現),多處身體不適的抱怨(軀體化失調的症狀),或者是擔心有嚴重的疾病(如疑病症的表現),這些擔心和焦慮不是由創傷後應激障礙引起.

E.    The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
      患者的擔心和焦慮導致顯著的痛苦,或引起社交,工作和其他重要功能的缺失.

F.    The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism) and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or a Pervasive Developmental Disorder.
這些症狀不是因為某些藥物造成的身體上的直接傷害,也不是某種軀體疾病造成(如甲亢),也不是僅僅發生在情感失調症,精神失常,廣泛性發育障礙症.